Academic Unit of Child and Adolescent Psychiatry, Imperial College London, St Mary's Campus, Norfolk Place, London W2 1PG, UK.
Br J Psychiatry. 2013 Jun;202:413-8. doi: 10.1192/bjp.bp.112.116707. Epub 2013 Apr 25.
Little is known about conversion disorder in childhood.
To document clinical incidence, features, management and 12-month outcome of non-transient conversion disorder in under 16-year-olds in the U.K. and Ireland.
Surveillance through the British Paediatric Surveillance Unit and Child and Adolescent Psychiatry Surveillance System.
In total, 204 cases (age range 7-15 years) were reported, giving a 12-month incidence of 1.30/100 000 (95% CI 1.11-1.52). The most common symptoms were motor weakness and abnormal movements. Presentation with multiple symptoms was the norm. Antecedent stressors were reported for 80.8%, most commonly bullying in school. Most children required in-patient admission with frequent medical investigations. Follow-up at 12 months was available for 147 children, when all conversion disorder symptoms were reported as improved. Most families (91%) accepted a non-medical explanation of the symptoms either fully or partially.
Childhood conversion disorder represents an infrequent but significant clinical burden in the UK and Ireland.
儿童转换障碍知之甚少。
记录英国和爱尔兰 16 岁以下儿童非短暂性转换障碍的临床发病率、特征、治疗方法和 12 个月的结果。
通过英国儿科监测单位和儿童和青少年精神病学监测系统进行监测。
共报告了 204 例（年龄 7-15 岁），12 个月的发病率为 1.30/100000（95%可信区间 1.11-1.52）。最常见的症状是运动无力和运动障碍。多数患儿存在多种症状。80.8%的患儿报告有前期应激源，最常见的是在学校被欺负。大多数患儿需要住院治疗，经常进行医学检查。147 例患儿在 12 个月时进行了随访，报告所有转换障碍症状均有所改善。大多数家庭（91%）完全或部分接受了非医学原因解释症状。
在英国和爱尔兰，儿童转换障碍是一种罕见但严重的临床疾病。
